Evidence map›Paper›PMID 26255562›Full record

ArticleGastroenterology2015

Signal Transducer and Activator of Transcription 3, Mediated Remodeling of the Tumor Microenvironment Results in Enhanced Tumor Drug Delivery in a Mouse Model of Pancreatic Cancer.

Nagaraj S Nagathihalli, Jason A Castellanos, Chanjuan Shi, Yugandhar Beesetty, Michelle L Reyzer, Richard Caprioli, Xi Chen, Alex J Walsh, Melissa C Skala, Harold L Moses and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 115 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

115 citing papers in PubMed, 1 synthesis or guideline pooled it, 189 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Unveiling the resistance to therapies in pancreatic ductal adenocarcinoma.Drug resistance updates : reviews and commentaries in antimicrobial and anticancer chemotherapy · 2024
    Review
  14. QuantifyingBiophotonics discovery · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Recent advances in drug delivery and targeting for the treatment of pancreatic cancer.Journal of controlled release : official journal of the Controlled Release Society · 2024
    Review
  19. Review
  20. Transcription factors in fibroblast plasticity and CAF heterogeneity.Journal of experimental & clinical cancer research : CR · 2023
    Review

55 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Nagaraj S NagathihalliDivision of Surgical Oncology, Department of Surgery, University of Miami Miller School of Medicine, Sylvester Comprehensive Cancer Center, Miami, Florida.
Jason A CastellanosDepartment of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee.
Chanjuan ShiDepartment of Pathology, Vanderbilt University School of Medicine, Nashville, Tennessee.
Yugandhar BeesettyDepartment of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee.
Michelle L ReyzerDepartment of Biochemistry, Vanderbilt University School of Medicine, Nashville, Tennessee.
Richard CaprioliDepartment of Biochemistry, Vanderbilt University School of Medicine, Nashville, Tennessee.
Xi ChenDepartment of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Alex J WalshDepartment of Biomedical Engineering, Vanderbilt University School of Medicine, Nashville, Tennessee.
Melissa C SkalaDepartment of Biomedical Engineering, Vanderbilt University School of Medicine, Nashville, Tennessee.
Harold L MosesDepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, Tennessee.
Nipun B MerchantDivision of Surgical Oncology, Department of Surgery, University of Miami Miller School of Medicine, Sylvester Comprehensive Cancer Center, Miami, Florida. Electronic address: nmerchant@miami.edu.
Vanderbilt University · USUniversity of Miami · US

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MATTHEW J TYSKA · 1995 to 2026
$172.8M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
Surgical Oncology Training GrantT32CA106183 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI James Richard Goldenring · 2004 to 2026
$6.0M
Stat3 Signaling in Pancreas CancerR01CA161976 · NCI · VANDERBILT UNIVERSITY · PI MERCHANT, NIPUN B. · 2012 to 2022
$3.4M
Cellular-level Optical Metabolic Imaging to Predict Drug Response in CancerR01CA185747 · NCI · VANDERBILT UNIVERSITY · PI SKALA, MELISSA CAROLINE · 2014 to 2019
$1.6M
NCI NIH HHS P30 CA068485NCI NIH HHS R01 CA161976NCI NIH HHS R01 CA185747NCI NIH HHS T32 CA106183NIDDK NIH HHS P30 DK058404
6 · The paper itself

Abstract

BACKGROUND &

aimsA hallmark of pancreatic ductal adenocarcinoma (PDAC) is the presence of a dense desmoplastic reaction (stroma) that impedes drug delivery to the tumor. Attempts to deplete the tumor stroma have resulted in formation of more aggressive tumors. We have identified signal transducer and activator of transcription (STAT) 3 as a biomarker of resistance to cytotoxic and molecularly targeted therapy in PDAC. The purpose of this study is to investigate the effects of targeting STAT3 on the PDAC stroma and on therapeutic resistance.

methodsActivated STAT3 protein expression was determined in human pancreatic tissues and tumor cell lines. In vivo effects of AZD1480, a JAK/STAT3 inhibitor, gemcitabine or the combination were determined in Ptf1a(cre/+);LSL-Kras(G12D/+);Tgfbr2(flox/flox) (PKT) mice and in orthotopic tumor xenografts. Drug delivery was analyzed by matrix-assisted laser desorption/ionization imaging mass spectrometry. Collagen second harmonic generation imaging quantified tumor collagen alignment and density.

resultsSTAT3 activation correlates with decreased survival and advanced tumor stage in patients with PDAC. STAT3 inhibition combined with gemcitabine significantly inhibits tumor growth in both an orthotopic and the PKT mouse model of PDAC. This combined therapy attenuates in vivo expression of SPARC, increases microvessel density, and enhances drug delivery to the tumor without depletion of stromal collagen or hyaluronan. Instead, the PDAC tumors demonstrate vascular normalization, remodeling of the tumor stroma, and down-regulation of cytidine deaminase.

conclusionsTargeted inhibition of STAT3 combined with gemcitabine enhances in vivo drug delivery and therapeutic response in PDAC. These effects occur through tumor stromal remodeling and down-regulation of cytidine deaminase without depletion of tumor stromal content.

Indexed as

Tumor MicroenvironmentAnimalsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Pancreatic DuctalCell Line, TumorCollagenDeoxycytidineDrug Resistance, NeoplasmGemcitabineGene Knockdown TechniquesHumansMice, Inbred C57BLMice, NudeMice, TransgenicMolecular Targeted TherapyNeoplasm StagingAZD 1480CollagenDeoxycytidineGemcitabineHras protein, mouseOsteonectinProtein Serine-Threonine KinasesProto-Oncogene Proteins p21(ras)PyrazolesPyrimidinesReceptors, Transforming Growth Factor betaReceptor, Transforming Growth Factor-beta Type IISPARC protein, humanSTAT3 protein, humanStat3 protein, mouseSTAT3 Transcription Factortranscription factor PTF1Transcription FactorsDrug DeliveryPancreatic CancerStromaTumor Microenvironment

Identifiers

PMID26255562
PMCPMC4863449
OpenAlexW1820142295

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.